Exam

Name___________________________________

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.

1) Which statement is true regarding homeopathy? 1)A) It is a Japanese technique of energy healing.B) A small amount of a substance will stimulate the immune response.C) It utilizes natural techniques such as vitamins and diet to restore health.D) Pressure applied to trigger points helps to balance energy.

Answer: BExplanation: A) Homeopathy is a health belief system that encourages the stimulation of the

immune system by a small amount of a disease trigger. Reiki is a Japanese systemof energy healing and acupuncture uses trigger points that promote healing andenergy balance. Naturopathy uses vitamins and diet as part of the healthrestoration process.ImplementationHealth promotion and maintenanceApplication

B) Homeopathy is a health belief system that encourages the stimulation of theimmune system by a small amount of a disease trigger. Reiki is a Japanese systemof energy healing and acupuncture uses trigger points that promote healing andenergy balance. Naturopathy uses vitamins and diet as part of the healthrestoration process.ImplementationHealth promotion and maintenanceApplication

C) Homeopathy is a health belief system that encourages the stimulation of theimmune system by a small amount of a disease trigger. Reiki is a Japanese systemof energy healing and acupuncture uses trigger points that promote healing andenergy balance. Naturopathy uses vitamins and diet as part of the healthrestoration process.ImplementationHealth promotion and maintenanceApplication

D) Homeopathy is a health belief system that encourages the stimulation of theimmune system by a small amount of a disease trigger. Reiki is a Japanese systemof energy healing and acupuncture uses trigger points that promote healing andenergy balance. Naturopathy uses vitamins and diet as part of the healthrestoration process.ImplementationHealth promotion and maintenanceApplication

1

Maternal Child Nursing Care 1st Edition Pillitteri Test BankFull Download: https://alibabadownload.com/product/maternal-child-nursing-care-1st-edition-pillitteri-test-bank/

This is sample only, Download all chapters at: AlibabaDownload.com

2) The goal of tertiary health care is: 2)A) Health maintenance. B) Restoration of maximum function.C) Illness prevention. D) Resolution of acute conditions.

Answer: BExplanation: A) Tertiary care includes rehabilitation, chronic, and terminal conditions. The goal is

to restore maximum function. Illness prevention and health maintenance areprimary care activities and treating acute conditions is secondary health care.DiagnosisSafe, effective care environmentApplication

B) Tertiary care includes rehabilitation, chronic, and terminal conditions. The goal isto restore maximum function. Illness prevention and health maintenance areprimary care activities and treating acute conditions is secondary health care.DiagnosisSafe, effective care environmentApplication

C) Tertiary care includes rehabilitation, chronic, and terminal conditions. The goal isto restore maximum function. Illness prevention and health maintenance areprimary care activities and treating acute conditions is secondary health care.DiagnosisSafe, effective care environmentApplication

D) Tertiary care includes rehabilitation, chronic, and terminal conditions. The goal isto restore maximum function. Illness prevention and health maintenance areprimary care activities and treating acute conditions is secondary health care.DiagnosisSafe, effective care environmentApplication

2

3) Which of the following situations best represents the infant mortality rates for a population? 3)A) A state health department reports 12 deaths in children under age 1 for every 1000 births each

year.B) A hospital has 5 stillbirths and 400 live births annually.C) There are 10,000 children that die annually in a given country.D) A county reports 7 SIDS related deaths, 4 AIDS related deaths and 5 accidental deaths in a

single year.Answer: AExplanation: A) The infant mortality rate is the number of deaths during the first year of life out of

1000 live births. The other statements do not correctly describe infant mortality.AssessmentSafe, effective care environmentApplication

B) The infant mortality rate is the number of deaths during the first year of life out of1000 live births. The other statements do not correctly describe infant mortality.AssessmentSafe, effective care environmentApplication

C) The infant mortality rate is the number of deaths during the first year of life out of1000 live births. The other statements do not correctly describe infant mortality.AssessmentSafe, effective care environmentApplication

D) The infant mortality rate is the number of deaths during the first year of life out of1000 live births. The other statements do not correctly describe infant mortality.AssessmentSafe, effective care environmentApplication

3

4) Which of the following is objective data? Select all that apply. 4)A) Pain 5/10B) Incision is reddenedC) Temperature 98.7°FD) NauseaE) Hemoglobin 12.6

Answer: B, C, EExplanation: A) Objective data is data that is observed or measured, including vital signs,

assessments, and lab tests. Information that the client reports, such as pain ornausea, is subjective data.AssessmentSafe, effective care environmentAnalysis

B) Objective data is data that is observed or measured, including vital signs,assessments, and lab tests. Information that the client reports, such as pain ornausea, is subjective data.AssessmentSafe, effective care environmentAnalysis

C) Objective data is data that is observed or measured, including vital signs,assessments, and lab tests. Information that the client reports, such as pain ornausea, is subjective data.AssessmentSafe, effective care environmentAnalysis

D) Objective data is data that is observed or measured, including vital signs,assessments, and lab tests. Information that the client reports, such as pain ornausea, is subjective data.AssessmentSafe, effective care environmentAnalysis

E) Objective data is data that is observed or measured, including vital signs,assessments, and lab tests. Information that the client reports, such as pain ornausea, is subjective data.AssessmentSafe, effective care environmentAnalysis

4

5) Changes in the health care delivery system have brought about changes in the way care providersview those that they treat. Which of the following terms implies that the recipient of health careservices is an active participant in the health care process with both rights and responsibilities?

5)

A) Advocate B) Client C) Consumer D) ClientAnswer: DExplanation: A) “Client” is the term that describes the individual actively participating in his or her

own care. The term “client” is associated with an individual that receives care, anda consumer is an individual who purchases a commodity. An advocate is one whopromotes productive changes in health care practices.AssessmentHealth promotion and maintenanceApplication

B) “Client” is the term that describes the individual actively participating in his or herown care. The term “client” is associated with an individual that receives care, anda consumer is an individual who purchases a commodity. An advocate is one whopromotes productive changes in health care practices.AssessmentHealth promotion and maintenanceApplication

C) “Client” is the term that describes the individual actively participating in his or herown care. The term “client” is associated with an individual that receives care, anda consumer is an individual who purchases a commodity. An advocate is one whopromotes productive changes in health care practices.AssessmentHealth promotion and maintenanceApplication

D) “Client” is the term that describes the individual actively participating in his or herown care. The term “client” is associated with an individual that receives care, anda consumer is an individual who purchases a commodity. An advocate is one whopromotes productive changes in health care practices.AssessmentHealth promotion and maintenanceApplication

6) Which of the following situations describes the evaluation step of the nursing process? 6)A) The nurse that notifies a physician when a child has a pulse rate of 180B) The nurse that repeats a temperature after giving Tylenol to a febrile clientC) The nurse that documents intake and output in the client’s chartD) The nurse that wraps a baby in a warm blanket after a bath

Answer: BExplanation: A) Evaluation is the part of the nursing process that includes reassessment of the

client after the nurse has provided an intervention for a problem. Retaking atemperature allows the nurse to determine the effectiveness of the Tylenoladministration. Documentation and client care are part of the implementationphase of the nursing process. Contacting a physician is part of the diagnosis phaseof the nursing process.EvaluationHealth promotion and maintenanceApplication

5

B) Evaluation is the part of the nursing process that includes reassessment of theclient after the nurse has provided an intervention for a problem. Retaking atemperature allows the nurse to determine the effectiveness of the Tylenoladministration. Documentation and client care are part of the implementationphase of the nursing process. Contacting a physician is part of the diagnosis phaseof the nursing process.EvaluationHealth promotion and maintenanceApplication

C) Evaluation is the part of the nursing process that includes reassessment of theclient after the nurse has provided an intervention for a problem. Retaking atemperature allows the nurse to determine the effectiveness of the Tylenoladministration. Documentation and client care are part of the implementationphase of the nursing process. Contacting a physician is part of the diagnosis phaseof the nursing process.EvaluationHealth promotion and maintenanceApplication

D) Evaluation is the part of the nursing process that includes reassessment of theclient after the nurse has provided an intervention for a problem. Retaking atemperature allows the nurse to determine the effectiveness of the Tylenoladministration. Documentation and client care are part of the implementationphase of the nursing process. Contacting a physician is part of the diagnosis phaseof the nursing process.EvaluationHealth promotion and maintenanceApplication

6

7) The historic use of medications that produced “twilight sleep” during labor was discontinuedbecause the use of this type of medication caused an increase in the:

7)

A) Maternal mortality rate. B) Infant mortality rate.C) Preterm birth rate. D) Cesarean birth rate.

Answer: DExplanation: A) The cesarean birth rate rose because the anesthesia reduced the ability of the

laboring woman to push effectively. The maternal and infant mortality rates werereduced and the preterm birth rate was not affected by the change in anesthesiamethods.EvaluationSafe, effective care environmentApplication

B) The cesarean birth rate rose because the anesthesia reduced the ability of thelaboring woman to push effectively. The maternal and infant mortality rates werereduced and the preterm birth rate was not affected by the change in anesthesiamethods.EvaluationSafe, effective care environmentApplication

C) The cesarean birth rate rose because the anesthesia reduced the ability of thelaboring woman to push effectively. The maternal and infant mortality rates werereduced and the preterm birth rate was not affected by the change in anesthesiamethods.EvaluationSafe, effective care environmentApplication

D) The cesarean birth rate rose because the anesthesia reduced the ability of thelaboring woman to push effectively. The maternal and infant mortality rates werereduced and the preterm birth rate was not affected by the change in anesthesiamethods.EvaluationSafe, effective care environmentApplication

8) Which of the following represents appropriate delegation? 8)A) The LPN/LVN delegates to the unlicensed assistive personnel to record the intake and output

for a client following surgery.B) The CNA asks another CNA to remove the Foley catheter of a postoperative client.C) The LPN/LVN delegates vital signs for a client receiving a blood transfusion to the CNA.D) The registered nurse asks the LPN/LVN to obtain vital signs and an assessment of the client

immediately following a seizure.Answer: AExplanation: A) Recording intake and output for a client following surgery is a task that would be

appropriate for delegation, and the LPN/LVN can delegate to the CNA. One CNAcannot delegate to another CNA. A client that just had a seizure would not be anappropriate client for the RN to delegate any tasks for care by other personnel. Aclient who is receiving a blood transfusion should only be assessed by licensedpersonnel.PlanningSafe, effective care environmentAnalysis

7

B) Recording intake and output for a client following surgery is a task that would beappropriate for delegation, and the LPN/LVN can delegate to the CNA. One CNAcannot delegate to another CNA. A client that just had a seizure would not be anappropriate client for the RN to delegate any tasks for care by other personnel. Aclient who is receiving a blood transfusion should only be assessed by licensedpersonnel.PlanningSafe, effective care environmentAnalysis

C) Recording intake and output for a client following surgery is a task that would beappropriate for delegation, and the LPN/LVN can delegate to the CNA. One CNAcannot delegate to another CNA. A client that just had a seizure would not be anappropriate client for the RN to delegate any tasks for care by other personnel. Aclient who is receiving a blood transfusion should only be assessed by licensedpersonnel.PlanningSafe, effective care environmentAnalysis

D) Recording intake and output for a client following surgery is a task that would beappropriate for delegation, and the LPN/LVN can delegate to the CNA. One CNAcannot delegate to another CNA. A client that just had a seizure would not be anappropriate client for the RN to delegate any tasks for care by other personnel. Aclient who is receiving a blood transfusion should only be assessed by licensedpersonnel.PlanningSafe, effective care environmentAnalysis

8

9) An LPN/LVN should determine the competence of an individual to perform a given task. If theindividual has been certified as a Nursing Assistant, the nurse should:

9)

A) Teach a class for CNAs before delegation.B) Discuss the procedure with the CNA.C) See a copy of the certification.D) Observe the CNA as the task is performed.

Answer: DExplanation: A) Before delegating a task, the licensed nurse should determine the competency of

the CNA and that can best be accomplished by observation. The other choiceswould not give the nurse the proof that the CNA could safely complete the task.ImplementationSafe, effective care environmentApplication

B) Before delegating a task, the licensed nurse should determine the competency ofthe CNA and that can best be accomplished by observation. The other choiceswould not give the nurse the proof that the CNA could safely complete the task.ImplementationSafe, effective care environmentApplication

C) Before delegating a task, the licensed nurse should determine the competency ofthe CNA and that can best be accomplished by observation. The other choiceswould not give the nurse the proof that the CNA could safely complete the task.ImplementationSafe, effective care environmentApplication

D) Before delegating a task, the licensed nurse should determine the competency ofthe CNA and that can best be accomplished by observation. The other choiceswould not give the nurse the proof that the CNA could safely complete the task.ImplementationSafe, effective care environmentApplication

10) The LPN/LVN can evaluate whether or not it would be appropriate to perform a given task if thetask meets which of the following criteria? Select all that apply.

10)

A) No other personnel are available to perform the taskB) Permitted by the State Board of NursingC) Part of the nurse’s basic education programD) The client’s life is in jeopardy if the task is not performedE) The employer has policies and procedures on file for the task

Answer: B, C, EExplanation: A) When an LPN/LVN is deciding whether performance of a task is appropriate, it

must be determined if the task is within the scope of nursing practice as describedby the State Board of Nursing and if the employer has documented within thefacility how and when the task should be performed. The nurse should also knowhow to perform the task, and that would be documented if the task were part ofthe basic education program or the nurse has received appropriatesupervision/training to perform the task. The nurse should not perform the taskeven if there is no one else available to perform the task or the client is in jeopardy.ImplementationSafe, effective care environmentApplication

9

B) When an LPN/LVN is deciding whether performance of a task is appropriate, itmust be determined if the task is within the scope of nursing practice as describedby the State Board of Nursing and if the employer has documented within thefacility how and when the task should be performed. The nurse should also knowhow to perform the task, and that would be documented if the task were part ofthe basic education program or the nurse has received appropriatesupervision/training to perform the task. The nurse should not perform the taskeven if there is no one else available to perform the task or the client is in jeopardy.ImplementationSafe, effective care environmentApplication

C) When an LPN/LVN is deciding whether performance of a task is appropriate, itmust be determined if the task is within the scope of nursing practice as describedby the State Board of Nursing and if the employer has documented within thefacility how and when the task should be performed. The nurse should also knowhow to perform the task, and that would be documented if the task were part ofthe basic education program or the nurse has received appropriatesupervision/training to perform the task. The nurse should not perform the taskeven if there is no one else available to perform the task or the client is in jeopardy.ImplementationSafe, effective care environmentApplication

D) When an LPN/LVN is deciding whether performance of a task is appropriate, itmust be determined if the task is within the scope of nursing practice as describedby the State Board of Nursing and if the employer has documented within thefacility how and when the task should be performed. The nurse should also knowhow to perform the task, and that would be documented if the task were part ofthe basic education program or the nurse has received appropriatesupervision/training to perform the task. The nurse should not perform the taskeven if there is no one else available to perform the task or the client is in jeopardy.ImplementationSafe, effective care environmentApplication

E) When an LPN/LVN is deciding whether performance of a task is appropriate, itmust be determined if the task is within the scope of nursing practice as describedby the State Board of Nursing and if the employer has documented within thefacility how and when the task should be performed. The nurse should also knowhow to perform the task, and that would be documented if the task were part ofthe basic education program or the nurse has received appropriatesupervision/training to perform the task. The nurse should not perform the taskeven if there is no one else available to perform the task or the client is in jeopardy.ImplementationSafe, effective care environmentApplication

11) The community-based LPN/LVN must demonstrate successful integration of a variety of practiceroles. Nurses may demonstrate this role diversity when working without compensation at the localfree clinic, translating a handout from English to Spanish for parents when their children areadmitted to the hospital, and meeting with a registered nurse, respiratory therapist, physicaltherapist, and chaplain to discuss the care of a homebound client. These nurses are demonstratingwhich of the following roles? Select all that apply.

11)

A) Community volunteerB) Community educator

10

C) CollaboratorD) ConsultantE) Cultural competence

Answer: A, C, EExplanation: A) A nurse that works without pay is a community volunteer, a nurse that provides a

translated handout for non-English speaking clients is demonstrating culturalcompetence, and a nurse that meets with other professionals to plan care is in therole of collaborator. These examples are not of a community educator orconsultant.PlanningSafe, effective care environmentApplication

B) A nurse that works without pay is a community volunteer, a nurse that provides atranslated handout for non-English speaking clients is demonstrating culturalcompetence, and a nurse that meets with other professionals to plan care is in therole of collaborator. These examples are not of a community educator orconsultant.PlanningSafe, effective care environmentApplication

C) A nurse that works without pay is a community volunteer, a nurse that provides atranslated handout for non-English speaking clients is demonstrating culturalcompetence, and a nurse that meets with other professionals to plan care is in therole of collaborator. These examples are not of a community educator orconsultant.PlanningSafe, effective care environmentApplication

D) A nurse that works without pay is a community volunteer, a nurse that provides atranslated handout for non-English speaking clients is demonstrating culturalcompetence, and a nurse that meets with other professionals to plan care is in therole of collaborator. These examples are not of a community educator orconsultant.PlanningSafe, effective care environmentApplication

E) A nurse that works without pay is a community volunteer, a nurse that provides atranslated handout for non-English speaking clients is demonstrating culturalcompetence, and a nurse that meets with other professionals to plan care is in therole of collaborator. These examples are not of a community educator orconsultant.PlanningSafe, effective care environmentApplication

11

12) Which of the following represents a primary care activity? 12)A) Postoperative care following a tonsillectomyB) Outclient chemotherapy infusion for a child with leukemiaC) Hospice care for a child with muscular dystrophyD) Immunization updates as part of a preschool physical examination

Answer: DExplanation: A) Primary care activities are those that represent health promotion or disease

prevention activities. Immunizations are a disease prevention activity. Outclientchemotherapy and postoperative care after a tonsillectomy would both besecondary health care activities since they involve an acute disease or situation.Hospice care would be tertiary care.PlanningHealth promotion and maintenanceAnalysis

B) Primary care activities are those that represent health promotion or diseaseprevention activities. Immunizations are a disease prevention activity. Outclientchemotherapy and postoperative care after a tonsillectomy would both besecondary health care activities since they involve an acute disease or situation.Hospice care would be tertiary care.PlanningHealth promotion and maintenanceAnalysis

C) Primary care activities are those that represent health promotion or diseaseprevention activities. Immunizations are a disease prevention activity. Outclientchemotherapy and postoperative care after a tonsillectomy would both besecondary health care activities since they involve an acute disease or situation.Hospice care would be tertiary care.PlanningHealth promotion and maintenanceAnalysis

D) Primary care activities are those that represent health promotion or diseaseprevention activities. Immunizations are a disease prevention activity. Outclientchemotherapy and postoperative care after a tonsillectomy would both besecondary health care activities since they involve an acute disease or situation.Hospice care would be tertiary care.PlanningHealth promotion and maintenanceAnalysis

13) Which of the following clients should the LPN/LVN check on first at the start of a morning shift? 13)A) The woman at 8 weeks gestation admitted from the emergency room for heavy vaginal

bleeding 2 hours agoB) The postpartum client and her newborn that are planning to be discharged later in the

morningC) The first day postoperative cesarean client that has an IV antibiotic due in 1 hourD) The newborn that is being treated with phototherapy using a BiliBlanket

Answer: A

12

Explanation: A) The client that is bleeding heavily at 8 weeks gestation is at the greatest risk whenthe nurse prioritizes care by airway, breathing, and circulation; the bleeding wouldbe the key factor in the prioritization. The client about to be discharged would bestable and not likely to need immediate assessment. The newborn being treatedwith phototherapy should be seen as a second priority but would not be as acute asthe bleeding client. The antibiotic should be administered within 1 hour of thedesignated time.PlanningSafe, effective care environmentAnalysis

B) The client that is bleeding heavily at 8 weeks gestation is at the greatest risk whenthe nurse prioritizes care by airway, breathing, and circulation; the bleeding wouldbe the key factor in the prioritization. The client about to be discharged would bestable and not likely to need immediate assessment. The newborn being treatedwith phototherapy should be seen as a second priority but would not be as acute asthe bleeding client. The antibiotic should be administered within 1 hour of thedesignated time.PlanningSafe, effective care environmentAnalysis

C) The client that is bleeding heavily at 8 weeks gestation is at the greatest risk whenthe nurse prioritizes care by airway, breathing, and circulation; the bleeding wouldbe the key factor in the prioritization. The client about to be discharged would bestable and not likely to need immediate assessment. The newborn being treatedwith phototherapy should be seen as a second priority but would not be as acute asthe bleeding client. The antibiotic should be administered within 1 hour of thedesignated time.PlanningSafe, effective care environmentAnalysis

D) The client that is bleeding heavily at 8 weeks gestation is at the greatest risk whenthe nurse prioritizes care by airway, breathing, and circulation; the bleeding wouldbe the key factor in the prioritization. The client about to be discharged would bestable and not likely to need immediate assessment. The newborn being treatedwith phototherapy should be seen as a second priority but would not be as acute asthe bleeding client. The antibiotic should be administered within 1 hour of thedesignated time.PlanningSafe, effective care environmentAnalysis

13

14) Which of the following represents the implementation phase of the nursing process? 14)A) The nurse obtaining vital signsB) The nurse discussing medications with a pharmacistC) The nurse repositioning a client who reports painD) The nurse reviewing new physician orders

Answer: CExplanation: A) Repositioning a client represents implementation of a nursing intervention.

Obtaining vital signs is nursing assessment. Reviewing new physician orders anddiscussing medication side effects would be part of the planning phase of thenursing process.ImplementationSafe, effective care environmentApplication

B) Repositioning a client represents implementation of a nursing intervention.Obtaining vital signs is nursing assessment. Reviewing new physician orders anddiscussing medication side effects would be part of the planning phase of thenursing process.ImplementationSafe, effective care environmentApplication

C) Repositioning a client represents implementation of a nursing intervention.Obtaining vital signs is nursing assessment. Reviewing new physician orders anddiscussing medication side effects would be part of the planning phase of thenursing process.ImplementationSafe, effective care environmentApplication

D) Repositioning a client represents implementation of a nursing intervention.Obtaining vital signs is nursing assessment. Reviewing new physician orders anddiscussing medication side effects would be part of the planning phase of thenursing process.ImplementationSafe, effective care environmentApplication

14

SHORT ANSWER. Write the word or phrase that best completes each statement or answers the question.

15) List the following nursing actions in the order they should occur when the LPN/LVN isusing the nursing process.1. Determines that a client has severe pain in the abdomen following a cesarean section2. Flushes the IV line and gives 25 mg of Demerol over 2 minutes3. Documents that the client is able to turn from side to side without grimacing4. Reviews the physician order sheet and the medication administration record for

available drug therapies

15)

Answer: 1, 4, 2, 3Explanation: The nursing process begins with assessment and determining that the client has

pain. The second step is planning, which includes verifying the physician orderand checking the medication administration record to determine what drugsand doses can be given to relieve the pain. The next step is implementation andthe actual administration of the Demerol, and the final step is evaluation whenthe client is demonstrating improvement in comfort because the client can moveeasily from side to side.ImplementationSafe, effective care environmentApplication

15

Answer KeyTestname: C1

1) B2) B3) A4) B, C, E5) D6) B7) D8) A9) D

10) B, C, E11) A, C, E12) D13) A14) C15) 1, 4, 2, 3

16

Maternal Child Nursing Care 1st Edition Pillitteri Test BankFull Download: https://alibabadownload.com/product/maternal-child-nursing-care-1st-edition-pillitteri-test-bank/

This is sample only, Download all chapters at: AlibabaDownload.com